By Laura O’Donovan and Sacha Waxman Criticism of the disparities in the public provision of fertility treatment in England is nothing new. The so-called ‘IVF postcode lottery’ emerged due to widespread divergence in local commissioning policies restricting access to treatment services. Unfairness in that process results not only from the different amounts of treatment available in […]
Month: August 2020
Pride or shame? Access to sex robots for older people with disabilities
By Nancy S. Jecker. Sex is about so much more than pleasure. It relates to some of the most central things we can do and be as human beings, such as generate a personally meaningful narrative of our lives; be physically, mentally and emotionally healthy; experience bodily integrity; affiliate and bond; feel and express a […]
NICE Draft Quality Standards on FASD: A misplaced focus?
By Rachel Arkell. In early March, the National Institute for Health and Care Excellence (NICE) launched the consultation period for the first draft of their Quality Standards on fetal alcohol spectrum disorders (FASD), which covers the assessment and diagnosis of those affected by FASD. It is, of course, vital that diagnosis and support services are […]
Answering the critics of the impairment argument against abortion
By Bruce P. Blackshaw When Perry Hendricks’ impairment argument was first published in 2018, I was impressed that someone had come up with what seemed to be a novel argument for the immorality of abortion. Importantly, it wasn’t based on the moral status of the fetus. Instead, it used an uncontroversial moral claim—that deliberately inflicting […]
The importance of mourning rituals to the dead
By Luís Cordeiro-Rodrigues. In Sophocles’ play Antigone, Creon, the new ruler of Thebes, decides that, as a punishment for Polynices’s rebellion, Polynices will not receive a proper funeral but will instead lie unburied on the battlefield to be eaten by animals. Antigone, one of Polynices’s sisters, defies Creon’s orders and gives her brother a funeral […]
Indirect racial discrimination in COVID-19 ethical guidance
By Harleen Kaur Johal, Rachel Prout, Marianne Tinkler. Although the COVID-19 pandemic has challenged all communities, increasing evidence has emerged that certain sectors have been disproportionately affected. A Public Health England report identified individuals from Black ethnic groups as most likely to be diagnosed with COVID-19. The risk of mortality was also estimated as being […]
Psychiatric patients and the decisional authority in the context of euthanasia. Is the psychiatrist a competent gatekeeper?
By Frank Schweitser In Belgium people with an incurable psychiatric disorder can file a request for euthanasia claiming unbearable psychic suffering. For the request to be accepted, it has to meet stringent legal criteria. Psychiatrists play an important role in the evaluation of these criteria. One of the legal requirements is that the patient possess […]
People with disabilities are worth saving, too: Ensuring healthcare equity during the COVID-19 pandemic
By Molly M. King Before we face another swell of the pandemic, we have the opportunity as a country to take stock of early lessons learned about the vulnerabilities of our nation’s healthcare system. As our nation celebrates the 30th anniversary of the Americans with Disabilities Act, we have other shortcomings to reflect on, as […]
Proving our worth: why clinical ethicists should help discuss treatment allocation decisions
By Trevor M. Bibler. Clinical ethicists across the nation, and throughout the world, have recently devoted their waking hours to developing triage and allocation policies in response to the COVID 19 pandemic. As these policies develop, we find general agreement that shared processes should take the place of ad hoc, bedside allocation decisions, and that […]
We should sit this one out: Why ethicists should not help discuss treatment allocation decisions
By Claire Horner. Ethicists help both health care professionals and patients and their families by working through complex ethical questions or facilitating communication in a conflict. Clinical Ethics Consultation (CEC) is generally defined as “a set of services provided by an individual or group in response to questions from patients, families, surrogates, health care providers […]